Utyando olutshintsho lwe-Hip lugqirha olusebenzayo lwentlungu ye-hip ebangelwa yi-arthritis. Unomlenze we-arthritic, kodwa ngokuqhelekileyo ubuso obushushu obuqhekezayo obunxibayo obunxibileyo buphelile. Ugqirha lokutshintshwa kwe-Hip lugxothwa luphelile ngokudala ukudibanisa okuqhelekileyo kwe-hip kunye nokufakelwa okufakelwayo., Ukucacisa okuqinileyo phakathi kwethambo lesangqa kwi-pelvis, ukunyakaza okulula kuquka ukuhamba, ukunyuka kwezitepsi, nokunyuka ukusuka kwindawo yokuhlala ayibe yintlungu kwakhona.
Izimpembelelo ezisetyenziselwa ukutshintshwa kwe-hip zingenziwa ngokudibanisa isinyithi, iplastiki kunye ne-ceramic.
Iingxaki zokutyunjwa kwe-hip endaweni engavamile, kodwa ziyakwenzeka. Xa iingxaki zenzeke, ukutshintshwa kwe-hip replacement, ebizwa ngokuba yinguqu yokuhlaziywa kwe-hip , kunokufuneka ukuba ulungise ingxaki ngesilwanyana esibekiwe. Isizathu esivamekileyo sokufuna ukuphinda ukutshintshwa kwe-hip yokutshintshwa kwendawo yokutshintshela ukutshintshwa kwendawo yokutshintshwa kwe-hip ishintshana ngokutsha . Ukutshintshwa kwenzeka xa ibhola ihlukaniswe kwisiseko se-hip substitution. Ngexa ibhola kunye nekhokhsi yokutshintshwa kwe-hip zixinaniswe kunye, azixhunyiwe, kwaye ukuba amandla aneleyo angasetyenziswa, anokuhlukana. Ngoxa i-risk of hip substlacement dislocation iye yehla kule minyaka elishumi edlulileyo, le nto isona sizathu esiqhelekileyo sokufuna ukubuyiswa kwe-hip esikhundleni.
Ukutshintshwa kwe-Hip esikhundleni
Ukutshintshwa kwe-Hip-substitution kwenzeka xa ibhola ye-ball-and-socket yokutshintshela iqhagamshelo iphuma kwisiseko.
Nangona kudla ngokuphindaphindiweyo ukubeka indawo yokutshintshwa kwe-hip ngaphandle kokunyanzeliswa kokugqitywa, ithuba lokungeniswa okongeziweyo okanye ukulimala kwiimplants liphezulu. Ngoko ke, ukutshintshwa kwendawo yokutshintshwa kwendawo yeso sizathu esona sizathu esivakalayo sokuba kutheni ukutshintshwa kwe-hip esikhundleni.
Ukucacisa ukuba kutheni ukuhlanganiswa kwe-hip kuhambisane nokubaluleka kubonelelo olufanelekileyo.
Izizathu ezinokwenzeka zokutshintshwa kwe-hip yokutshintsha indawo zibandakanya uhlobo lokufakelwa okusetyenziswayo, ukuma kwe-implantation emzimbeni, ukulimala kabuhlungu, okanye izifo zonyango isigulane (umzekelo, isifo sika-Parkinson ). Xa isizathu sokuchithwa kwemali sizimisele, unyango olufanelekileyo lunokucetyiswa, olunokubandakanya inkqubo yesibini yokucoca ukubuyisela ukutshintshwa kwe-hip, kwaye mhlawumbi isebenzise uhlobo oluthile olungasebenzi.
Ukukhusela i-Hip Replacement Dislocations
Uphando olutshanje luphandile ukuba kutheni isiguli esinikezelweyo sinokukwazi ukufumana ukutshintshwa kwendawo yokutshintsha. Azikho zonke izinto ezinokulawulwa; Ngokomzekelo, isigulane nesifo sikaParkinson asikwazi ukunciphisa ingozi yabo yokutshintshwa ngokuguqula imeko yabo. Enye into engakwazi ukulawulwa ngumdala; izigulane ezingaphezu kweminyaka engama-85 zinekhefu eliphezulu lokutshintshwa kwe-hip esikhundleni. Nangona kunjalo, kukho iziganeko eziye zaboniswa ukuba zenze igalelo ekutshintsheni ukutshintshela indawo okungalawulwayo:
- Ukufakela ubungakanani
Ubungakanani bentloko yobufazi, okanye ubukhulu bebhola yebhola kunye ne-socket, kunokunyuswa ukunceda ukukhutshelwa ukutshintshwa kwe-hip esikhundleni. Iintloko zeentloko zeentombi ze-femor zincinci ukuba zingashenxiswanga kwisiseko. Ukusebenzisa izimpembelelo ezizodwa, ezifana nokutshintshwa kwe-hip yensimbi yensimbi , ivumela ukuba ugqirha wakho asebenzise intloko enkulu yeentloko ze-femoral , kwaye ke ingozi yokunciphisa ingcipheko. Izinketho zobuninzi beentloko zeBantu ziye zanda ngokukrakra kule minyaka elishumi edlulileyo.
- Amava oPhando
Enye into yokulawula ukuchithwa kwe-hip yokutshintshwa kwendawo yonyango yonyango. Abagqirha abenza ngaphantsi kwama-hipp replacements ngonyaka banethuba eliphezulu lokuba nesigulane sokutshintshwa kwe-hip esikhundleni. Ngakolunye uhlangothi, oogqirha abenza okungakumbi ukuba ama-hip replacements ngonyaka ngamnye anethuba elincinane kangako lokuba nesigulane sinokutshintshiselwa ngokutsha.
Enye into esanda kutshonywa yindlela yovavanyo olusetyenziswayo ukufikelela kwi-joint hip. Ukutshintshwa kwezinto ezithengiswayo ngokuphindaphindiweyo kwenziwa ngokugqithisa kwangaphambili , kwaye abanye oogqirha baziva ukuba ithuba lokutshintshisa liphantsi kakhulu kule ndlela.
Kukho iinkcukacha eziphikisanayo malunga nokuba ingaba yintoni inxalenye yendlela yokucoca, ingaba esinye isinyathelo sinokukunceda ekunciphiseni ithuba lokutshintshwa.
Ngaphantsi: Yintoni endifanele ndenze?
Izigulane ezithatha indawo yokutshintsha i-hip kufuneka ziqaphele ingozi yokutshintshwa kwe-hip esikhundleni . Kwizigulane ezisengozini enkulu yokugcina ukuchithwa, ukuchongwa okukhethekileyo kunokukhethwa ukunceda ukuthintela ithuba le nkcenkceshela. Ukuba ukutshintshwa kwe-hip esikhundleni sokutshintshwa kwenzeka, kuhlolwe ngokucophelela imbangela yale ngxaki. Kubantu abanomdla ngokukodwa malunga nokufuduka, banokuxoxa noogqirha wabo ukuba izimpembelelo ezithile okanye iindlela zokugonywa zinganciphisa njani umngcipheko wokuba neenkcenkcesho zokuxuba.
Imithombo:
Umthamo wesigqirha, ubungakanani bentloko yobufazi bubangelwa ukunciphisa umngcipheko wokungena kwi-AAOS Ngoku; Fe bruwari 2010.